operative report

operative report

A document produced by a surgeon or other physician(s) who have participated in a surgical intervention, which contains a detailed account of the findings, the procedure used, the specimens removed, the preoperative and postoperative diagnoses, and names of the primary performing surgeon and any assistants
References in periodicals archive ?
We reviewed the medical records prior to data collection, with particular interest in the following variables: the fracture pattern (based on the Gartland classification) described in the operative report and the displacement of the distal fracture fragment, the use of closed reduction via a cast or closed reduction percutaneous pinning, complications, and neurovascular status.
This study is conducted to study the quality of operative report for laparoscopic cholecystectomy and find ways to improve these records.
A review of the operative report did not reveal any intraoperative complications to suggest a ureteric injury at the time of graft placement.
For example, if the auditor is looking at a surgical procedure issue, he or she needs the operative report but should not be looking at the E&M notes that do not pertain to the surgery.
Brodman's operative report, which was dictated before complications arose and was never supplemented.
One seldom finds an operative report of procedures performed on such patients.
At her deposition, the defendant testified that she had a form and would check off boxes to indicate to her staff which standard paragraphs should be included in her operative report.
Hoffman then dictated his 2-page operative report and went across the street from the hospital to eat lunch with Dr.
Perdikis) has resolved to change his operative report writing to ensure that he provides more accurate information than he did in (the tumor patient's) case.
Mills was listed as the "operator" on the operative report and actually signed the operative report, he did not participate in the surgery.
Ideally, the operative report will reflect not only what was done but also the intraoperative decision-making process on the part of the gynecologist.